Jr Friendly Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00717800 Issued in NJ

Legal business name

JR FRIENDLY PHARMACY LLC

Doing business as

Friendly Pharmacy

Practice address

570 Raritan Rd
Roselle, NJ 07203-2446

Phone

(908) 587-0020

Fax

(908) 587-1002

NPI assigned

Dec 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Pottackal GeorgeNPI 1881354108

Title

Owner

Phone

(973) 985-8432

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Friendly Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James P George

  • Pharmacist
  • Orange, NJ
  • NPI 1881354108
  NPD Authorized official
• Charles Shearcraft, PHARMD

  • Pharmacist
  • Roselle, NJ
  • NPI 1912309436
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1609145952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 RARITAN RD",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032446",
            "telephone_number": "908-587-0020",
            "fax_number": "908-587-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 RARITAN RD",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032446",
            "telephone_number": "908-587-0020",
            "fax_number": "908-587-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR FRIENDLY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "POTTACKAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-985-8432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00717800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP (NABP)",
            "identifier": "3198391",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432881",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendly Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamila Johnson
• Asia Renee Jones
• Ralph Gregory Jones Jr.
• Fabiola Desrameaux Joseph
• Tiarra Tanae Joseph, MS, LAT, ATC
• Anise A Kachadourian, MD
• Scott M Kelsey
• Keys to the Heart LLC
• Soo J Kim
• Dinah Kofie

• Community/Retail Pharmacy in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.